ST. MARY'S MULTI-SPECIALTY SURGERY CENTRE, INC. (NPI# 1295750594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295750594 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MULTI-SPECIALTY SURGERY CENTRE, INC. |
| Practice Address |
22325 Greenview Pkwy Great Mills MD 20634-4404 |
| Mailing Address |
Po Box 1310 California MD 20619-1310 |
| Practice Telephone | 3018623338 |
| Practice Fax Number | 3018623335 |
| Mailing Telephone | 3018623338 |
| Mailing Fax Number | 3018623335 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | DR. DOUGLAS HALLGREN (DIRECTOR) |
| Authorized Official Telephone | 3018623338 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1147 | MD | Ambulatory Health Care Facilities |
| Street Address |
22325 GREENVIEW PKWY |
| City | GREAT MILLS |
| State | MD |
| Zip Code | 20634-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255371506 | Catherine Carroll-parker | Social Worker | 22325 Greenview Pkwy, Innerworks, Inc., Great Mills, MD 20634 | 2006-06-07 |
| 1245486463 | Kyle K Bishop | Counselor | 22325 Greenview Pkwy, Unit 1b, Great Mills, MD 20634-4404 | 2008-08-08 |
| 1992840235 | Innerworksinc | Community/Behavioral Health | 22325 Greenview Pkwy, Unit 1b, Great Mills, MD 20634-3491 | 2007-02-21 |
| 1336158955 | Douglas H Hallgren | Podiatrist | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| 1194734780 | Robert L Vanfosson | Podiatrist | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| 1053320580 | Capital Foot & Ankle Care Centre Pa | Non-Pharmacy Dispensing Site | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| 1245249754 | St. Mary's Multispecialty Surgery Center | Clinic/Center | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699871 | Pamela A Laigle | Nurse Practitioner | 45870 E. Run Dr., Great Mills, MD 20634 | 2018-08-21 |
| 1710539242 | Adrian A Thompson | Dentist | 22329 Greenview Pkwy, Great Mills, MD 20634 | 2019-07-15 |
| 1730652637 | Gilberta Campbell | Occupational Therapist | 21130 Great Mills Rd, Great Mills, MD 20634-2344 | 2019-01-03 |
| 1992067599 | Victoria Marie Cutchember | Nurse's Aide | 45910 Foxchase Dr, Apt.315, Great Mills, MD 20634-2381 | 2012-06-11 |
| 1073783742 | Mary Yvonne Ayers | Social Worker | 22330 Chancellors Run Rd Unit E, Great Mills, MD 20634-2423 | 2008-03-09 |
| 1053584912 | Mary Christine Fillius Boddicker | Physical Therapist | 46135 N Greens Rest Dr, Great Mills, MD 20634-3065 | 2008-04-10 |
| 1891234068 | Sonia Roy | Registered Nurse | 20861 Harvest Mill Ct, Great Mills, MD 20634-3318 | 2017-02-21 |
| 1417127812 | Ronald Kenneth Buttery | Registered Nurse | 22322 Greenview Pkwy, 100-c, Great Mills, MD 20634-3420 | 2008-03-03 |
| 1295272250 | Troy Mendenhall | Specialist/Technologist | 45444 Blue Flax Way, Great Mills, MD 20634-3466 | 2017-01-27 |
| 1902932809 | Tomicka Jackson-george | Dentist | 22329 Greenview Pkwy, Great Mills, MD 20634-3491 | 2007-02-26 |
| Find all providers in zip 20634 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245249754 | St. Mary's Multispecialty Surgery Center | Clinic/Center | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
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|---|---|---|---|---|
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| 1518570084 | Eastside Anesthesia LLC | Clinic/Center | 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 | 2020-08-25 |
| 1215548524 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 | 2020-08-11 |
| 1861001372 | Bay Surgery Centers LLC | Clinic/Center | 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 | 2020-07-30 |
| 1417566217 | Clearway Surgery Center of Easton, LLC | Clinic/Center | 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 | 2020-07-28 |
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1528680865 | Meridian Surgery Center LLC | Clinic/Center | 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 | 2020-05-09 |
| 1346862869 | Nspc Surgery Center of Maryland, LLC | Clinic/Center | 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 | 2020-05-07 |
| 1225665292 | Annapolis Endoscopy Center LLC | Clinic/Center | 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 | 2020-03-26 |
| 1992345748 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | GREAT MILLS |
| Zip Code | 20634 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.